Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE LIRON MATCHIN, DOCTOR OF OSTEOPATHY
Active Sole ProprietorDR. BRUCE LIRON MATCHIN, DOCTOR OF OSTEOPATHY is a Sports Medicine healthcare provider located in NORTH CHICAGO, Illinois. NPI 1821251794 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · NORTH CHICAGO, IL
Registration Details
- NPI Number
- 1821251794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2008 (18.141053705644 yrs)
- Last Updated
- Oct 28, 2021
- License
-
2021016045 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER3001 GREEN BAY ROADNORTH CHICAGO, IL, 60064Browse IL providers · Browse ZIP 60064
- Phone
- 8476881900
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.